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APCO’s Strong Showing in Prague: Highlights from WCO-IOF-ESCEO 2026

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APCO played a significant role in the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO 2026) that recently concluded in the beautiful and historic city of Prague, Czech Republic. Held from April 16-19, 2026, the event solidified the Congress’s reputation as the world’s leading clinical event in the musculoskeletal field. The event opened by Prof Jean Yves Reginster and Prof Nicholas Harvey featured a gracious welcome address by Mr Patrick Zachar – the Deputy to the Czech Minister of Health Adam Vojtech. It was followed by insightful keynote lectures, including the traditional and much anticipated “Summing up of the Best Clinical papers of the year” by Prof Rene Rizzoli, and notable addresses by Prof Jotheeswaran Amuthavalli Thiyagarajan from the WHO on the WHO Bone Health Initiative, as well as on the current global challenges in academic publishing by Dr Sarah Onuora and insights into the genetic basis of diseases by Dr Kirsten Bos.

Over four productive days, attendees immersed themselves in a comprehensive scientific program featuring 10 plenary lectures, over 65 oral presentations, and 13 topical symposia. From the musculoskeletal effects of GLP-1 receptor agonists and the integration of AI in clinical practice to novel care pathways for post-fracture follow-up, the Congress addressed the most pressing “hot topics” in the field today. It was a landmark event that successfully fostered global collaboration for the ultimate benefit of patients worldwide.

 

APCO Members Lead from the Front in Scientific Sessions

APCO’s presence at WCO-IOF-ESCEO 2026 was both highly visible and deeply impactful, with members contributing across multiple scientific sessions including Plenaries, Symposia and Meet the Expert Sessions.

Prof Manju Chandran

Prof Manju Chandran, APCO Chairperson, a Board member and Chairperson of the Fracture Working Group of the Council of Scientific Advisors (CSA) of the IOF, delivered three lectures across the main programme.

Her Meet-the-Expert session on “FLS: Current Global Challenges” addressed the real-world complexities of implementing and sustaining fracture liaison services across diverse healthcare systems, with particular emphasis on funding models, interdisciplinary collaboration, and bridging the persistent treatment gap between acute fracture care and long-term osteoporosis management.

Prof Chandran’s special CSA session titled “Fragile Bone, Fragile Constructs? Bone Health Assessment and Osteoporosis Therapies in Spinal Fusion”, was delivered to a standing room only audience that spilled out into the corridors. The session presented a construct-level framework for understanding implant fixation failure, integrating emerging evidence on bone quality assessment and the role of anti-osteoporosis therapies in improving surgical outcomes. The lecture was notable for its clinically grounded approach balancing mechanistic evidence with pragmatic peri-operative recommendations.

In addition, she organized and spoke at the Non-Sponsored Symposium (NSS) on “Mind-Body Exercises: Yoga and its Effect on Bone and Muscle Health”, where she delivered the opening lecture: “Introduction to Yoga and Its Relevance to Musculoskeletal Health”.

Beyond speaking engagements, she played a major leadership role across the Congress as:

  • Co-Chair of the session on Guidelines for Fibrous Dysplasia, Hypophosphatasia and X-Linked Hypophosphatasia at the Skeletal Rare Disorders Training Course that preceded the main congress.
  • Co-Chair, Scientific Session V, including the presentation of prestigious IOF awards such as the Olof Johnell Science Award. It was a particularly meaningful moment for her to chair the session where this award was presented, given her own recognition as a recipient of this award in 2021.
  • Co-Chair along with Prof Ralf Schmidmaier at the ESCEO-DVO session on Current Highlights in Osteology. This session, which brought together the ESCEO (European Society for the Clinical and Economic Aspects of Osteoporosis) and the DVO (Dachverband Osteologie e.V./ German-speaking Scientific Osteological Societies), served as a high-level forum for leading European perspectives on vertebral fracture classification, emerging evidence and updated recommendations on aromatase inhibitor-associated bone loss in breast cancer, and the evolving role of fragility fractures as both clinical endpoints and therapeutic triggers. 
  • Co-Chair along with Prof Nick Fuggle at the NSS on Sarcopenia and Frailty (Bridging Science and Service), facilitating discussions on translational pathways from research to real-world care in the field.

Prof Peter Ebeling

Prof Peter Ebeling, Board and CSA member of the IOF as well as EXCO member of APCO, played a prominent role across both chairmanships and original research presentations.

At the ESCEO-WHO Innovation Session during the Opening Ceremony, he presented “ALIGNOGRAM1.0: AI-Powered Detection of Bone Tissue Disorganization – A Novel Biomarker for Fracture Risk & Treatment Response in Bone Disease, with a Focus on Rare Disorders” together with Roger Zebaze. This highlighted an important emerging direction in skeletal imaging: using AI-enabled assessment of bone tissue organisation as a potential biomarker for fracture risk, treatment response, and rare bone disorders.

He co-chaired the session on understanding manifestations and management of disorders such as Hypoparathyroidism, Pregnancy and Lactation induced osteoporosis and Tumor Induced Osteomalacia at the Pre Congress Skeletal Rare Disorders Training Course as well as Scientific Session I at the main congress, which featured high-impact plenary and oral communications on fracture risk prediction and treatment strategies.

He also presented original research from the Global Hypophosphatasia Registry, with his abstract: “Frequency of Ectopic Calcifications Among Patients with Hypophosphatasia in the Global HPP Registry” contributing to a growing body of work on rare metabolic bone diseases and their systemic manifestations.

Prof Ambrish Mithal

Prof Ambrish Mithal, also a Board and CSA member of the IOF and APCO Scientific Advisory Board member, provided leadership as Chair of the NSS on Yoga and its effect on Musculoskeletal Health, guiding a highly engaging and multidisciplinary session that brought together perspectives from endocrinology, rehabilitation, and exercise science.
His role ensured that the discussion remained grounded in evidence-based interpretation, while also encouraging open dialogue on integrating traditional practices such as yoga into modern musculoskeletal care.

Prof Atsushi Suzuki

Prof Atsushi Suzuki- a Board and CSA member of the IOF and Scientific Advisory Board Member of APCO, delivered a key presentation in the special Capture the Fracture symposium, titled: “Learning from peers and building a strong FLS community – the Japanese experience”.

This session highlighted:

  • Structured national approaches to FLS implementation
  • The importance of peer learning networks
  • Strategies for scaling high-quality fracture care across healthcare systems

He also:

  • Chaired Scientific Session VI, demonstrating leadership in moderating high-level scientific discourse
  • Presented findings from the JOINT-08 trial, which evaluated intensive FLS implementation strategies and their impact on reducing vertebral fractures in high-risk populations

His contributions underscored the critical role of system-level interventions and implementation science in closing the osteoporosis care gap.

Asst Prof David Lui, an EXCO Member of APCO, was the presenting author of the abstract “Development and validation of diabetes hip fracture score (D-HFS) in patients with type 2 diabetes: A population-based cohort study of Hong Kong” at the CNS Plenary Session as was A/Prof Lakshmi Nagendra, APCO Scientific Advisory Board Member, who presented the abstract “Fragility runs in the family: Intergenerational clustering of osteoporosis in a rural Indian cohort” at the same CNS Plenary Session. She also presented on the Effect of Yoga on Bone Metabolism at the NSS on Yoga and its effect on Bone and Muscle Health.

 

Yoga NSS: Science Meets Practice

A standout highlight of the Congress was the NSS on Yoga and Musculoskeletal Health, titled: “Mind-Body Exercises: Yoga and its Effect on Bone and Muscle Health: Myth, Magic, or Measurable Impact?organized by Prof Manju Chandran, chaired by Prof Ambrish Mithal and in which Prof Chandran, Dr Lakshmi Nagendra and Dr Paras Bajaj spoke.

What made this session particularly memorable was its rare integration of rigorous science with lived practice. The session concluded with a live yoga demonstration, where members of the audience enthusiastically participated. This interactive segment transformed the session from a purely academic discussion into an experiential understanding of:

  • Balance Challenges
  • Neuromuscular Coordination
  • Functional Loading Patterns

It was a powerful reminder that mind-body interventions, when carefully defined and studied, can bridge traditional knowledge and modern clinical science.

 

A Vibrant Presence at the CNS Village

Beyond the lecture halls, APCO made a significant mark at the CNS Village, a dynamic hub in the Congress Exhibition Hall where member organizations showcase their work and foster global collaborations. Standing out in this vibrant space was APCO’s visually stunning and intellectually engaging booth.

Designed by Prof Manju Chandran and APCO Project Manager Satpreet Kaur, the booth attracted visitors over the three-day congress. The booth featured:

  • A Vivid Tribute: Celebrating the 24 countries and regions represented within the APCO collective.
  • The Knowledge Corner: A fun, interactive space where attendees tested their awareness of the Asia Pacific region.
  • A Resource Showcase: A comprehensive display of APCO’s clinical, policy, and educational initiatives, including our latest tools for improving osteoporosis care.
  • A Taste of Asia: Visitors were delighted by takeaway gift packs featuring the special APCO logo inscribed pens and traditional Asian sweets.

A special shoutout to Dr Paras Bajaj, from National University Health System, Singapore who helped with setting up the APCO booth with Prof Chandran.

 

Celebrating a Decade of Leadership: Dr Philippe Halbout

A highlight of the Congress was a truly special milestone for our community. We are thrilled to congratulate APCO EXCO member and IOF CEO, Dr Philippe Halbout, who was recognized in Prague for 10 years of dedicated leadership at the helm of the International Osteoporosis Foundation. Over the last decade, Dr Halbout’s unwavering vision and commitment have been instrumental in driving our global mission forward. We celebrate his achievements and wish him continued success as he leads the organization toward a future of even greater impact for patients globally.

 

A Proud Moment for APCO and the Asia Pacific Region

The WCO-IOF-ESCEO 2026 in Prague was more than a conference; it was a celebration of collaboration, innovation, and global impact. APCO’s strong presence across leadership milestones, scientific sessions, and the CNS Village reflects the growing influence and excellence of Asia Pacific leadership in musculoskeletal health. We extend our heartfelt gratitude to every APCO member who contributed to this memorable showing in Prague. Together, we continue to set new standards for bone health globally.

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Low Calcium Intake

Reference 1: This review examined calcium intake among adults around the world and found that many populations do not consume enough calcium to support good bone health. The authors highlight that low calcium intake is particularly common in many Asian countries, where average intakes are often well below recommended levels. Because calcium is essential for building and maintaining strong bones, inadequate intake may increase the risk of osteoporosis and fractures. The study emphasises the importance of promoting calcium rich foods and other practical ways to help people meet their daily calcium needs.

Citation: Balk EM, Adam GP, Langberg VN, et al. “Global dietary calcium intake among adults: a systematic review.” Osteoporos Int. 2017 Dec;28(12):3315-3324. doi: 10.1007/s00198-017-4230-x. Epub 2017 Oct 12. Erratum in: Osteoporos Int. 2018 May;29(5):1223. doi: 10.1007/s00198-018-4447-3. PMID: 29026938; PMCID: PMC5684325.


Reference 2: This review explores the important role of calcium in maintaining healthy bones throughout life. The authors explain that adequate calcium intake helps build and maintain bone strength, while long term low intake may contribute to bone loss and increase the risk of fractures. The paper also discusses the importance of obtaining calcium from a balanced diet, with supplements considered when dietary intake is insufficient. Overall, the review reinforces that meeting daily calcium needs is an important part of supporting lifelong bone health.

Citation: Cormick G, Belizan JM. “Calcium Intake and Health.” Nutrients. 2019 Jul 15;11(7):1606. doi: 10.3390/nu11071606. PMID: 31311164; PMCID: PMC6683260.


Reference 3: This review explores how common calcium deficiency is around the world and the impact it can have on health. The authors explain that many people do not consume enough calcium, particularly in low and middle income countries, increasing the risk of poor bone health and fractures. The paper highlights the importance of consuming enough calcium throughout life to help build and maintain strong bones. It also emphasises the need for practical strategies, such as improving access to calcium rich foods, fortified foods, and nutrition education, to help people meet their daily calcium needs.

Citation: Shlisky J, Mandlik R, Askari S, et al. “Calcium deficiency worldwide: prevalence of inadequate intakes and associated health outcomes.” Ann N Y Acad Sci. 2022 Jun;1512(1):10-28. doi: 10.1111/nyas.14758. Epub 2022 Mar 5. PMID: 35247225; PMCID: PMC9311836.

High Sodium Intake

Reference 1: This review explored whether eating too much salt affects bone health in postmenopausal women. The authors found that while high salt intake may increase calcium loss from the body, there is currently not enough high quality evidence to clearly determine its long term effects on bone mineral density or fracture risk. The paper highlights the need for more research to better understand this relationship. In the meantime, following general recommendations to limit excessive salt intake remains an important part of maintaining overall health.

Citation: Imash D, Gusmanov A, Chan MY. “High salt intake and bone health in postmenopausal women: exposing the lack of studies – a systematic review and meta-analysis.” Front Endocrinol (Lausanne). 2025 Nov 19;16:1694539. doi: 10.3389/fendo.2025.1694539. PMID: 41347127; PMCID: PMC12672310.


Reference 2: This study explored whether salt intake was linked to bone health in postmenopausal women in southern India. The authors found that women who consumed more salt were more likely to have weaker bones, poorer bone structure, osteoporosis, and vertebral fractures. These findings suggest that excessive salt intake may be associated with poorer bone health in this population. The study adds to growing evidence that a balanced diet, including limiting excess salt, may help support healthy bones.

Citation: John R, Cherian KE, Kapoor N, et al. “Excess dietary salt is associated with an altered bone strain index, degraded bone microarchitecture, vertebral fractures, and increased prevalence of osteoporosis in postmenopausal women – A study from a teaching hospital in southern India.” Aging Med (Milton). 2024 Oct 10;7(5):606-613. doi: 10.1002/agm2.12360. PMID: 39507226; PMCID: PMC11535168.

Lower Protein Intake Among Older Adults

Reference 1: This review explored how protein intake and regular exercise can help slow the progression of age-related muscle loss in older adults living in the community. The authors found that combining adequate protein with strength or resistance exercise was more effective than either approach alone in helping to maintain muscle strength and physical function. The paper highlights that preserving muscle health is important for reducing the risk of falls, fractures, and loss of independence. It also reinforces the value of healthy lifestyle habits in supporting active and healthy ageing.

Citation: Li L, He Y, Jin N, Li H, Liu X. “Effects of protein supplementation and exercise on delaying sarcopenia progression in Asian community-dwelling older adults.” Food Chem X. 2022 Jan 20;13:100210. doi: 10.1016/j.fochx.2022.100210. PMID: 35128383; PMCID: PMC8808080.


Reference 2: This consensus paper encourages a broader focus on maintaining muscle health throughout life rather than only identifying or treating sarcopenia after it develops. The authors explain that healthy muscles are essential for mobility, balance, independence, and overall wellbeing, especially as people age. The paper highlights the importance of regular physical activity, good nutrition, and early action to help preserve muscle strength and function. It also encourages healthcare professionals and the public to view muscle health as an important part of healthy ageing alongside bone health.

Citation: Chen LK, Hsiao FY, Akishita M, et al. “A focus shift from sarcopenia to muscle health in the Asian Working Group for Sarcopenia 2025 Consensus Update.” Nat Aging. 2025 Nov;5(11):2164-2175. doi: 10.1038/s43587-025-01004-y. Epub 2025 Nov 4. PMID: 41188603.

High Prevalence of Lactose Intolerance

Reference 1: This review explores how lactose intolerance may affect bone health. The authors explain that people who avoid dairy because of lactose intolerance may miss out on important nutrients, particularly calcium, if these nutrients are not replaced from other foods. The paper highlights that getting enough calcium is important for maintaining strong bones and reducing the risk of fractures. It also emphasises that there are many ways to meet calcium needs, including lactose free dairy products and other calcium rich foods.

Citation: Hodges JK, Cao S, Cladis DP, Weaver CM. “Lactose Intolerance and Bone Health: The Challenge of Ensuring Adequate Calcium Intake.” Nutrients. 2019 Mar 28;11(4):718. doi: 10.3390/nu11040718. PMID: 30925689; PMCID: PMC6521087.


Reference 2: This review explores whether drinking milk can help support bone health in Asian populations, particularly those at higher risk of osteoporosis. The authors highlight that many people in Asia consume less milk than recommended, which may contribute to lower calcium intake and poorer bone health. The paper explains that milk provides important nutrients for strong bones and discusses practical options for people who cannot tolerate regular milk, such as lactose free milk and yoghurt. Overall, the review suggests that finding suitable ways to include dairy or alternative calcium rich foods in the diet may help support lifelong bone health.

Citation: Jiao H, Xu Y, Zhang Y, et al. “Is it advisable for Asians to drink milk, especially those at risk of osteoporosis?” Front Nutr. 2025 Jun 25;12:1586623. doi: 10.3389/fnut.2025.1586623. PMID: 40635901; PMCID: PMC12239142.


Reference 3: This review explores ways to protect bone health in populations where calcium and vitamin D intake is often too low. The authors explain that getting enough of these nutrients is essential for building and maintaining strong bones, yet deficiencies remain common in many parts of the world. The paper highlights that healthy eating, safe sun exposure, regular physical activity, and, where needed, fortified foods or supplements can all help support bone health. It also emphasises the importance of public health efforts to improve awareness and make nutritious foods more accessible, particularly for people at greater risk of osteoporosis.

Citation: Yeum KJ, Ju S, Choe U. “Strategies for preventing bone loss in populations with inadequate calcium and vitamin D intake.” Nutr Res Pract. 2025 Apr;19(2):155-169. doi: 10.4162/nrp.2025.19.2.155. Epub 2025 Mar 13. PMID: 40226767; PMCID: PMC11982687.

Vitamin D Deficiency Despite Sunshine

Reference 1: This review examined how common vitamin D deficiency is around the world and found that it remains a widespread public health concern. The authors explain that many people do not get enough vitamin D because of factors such as limited sun exposure, diet, and lifestyle. As vitamin D plays an important role in maintaining strong bones and muscles, low levels may increase the risk of poor bone health. The study highlights the importance of improving awareness and ensuring people have adequate vitamin D through safe sun exposure, diet, fortified foods, or supplements when needed.

Citation: Cui A, Zhang T, Xiao P, Fan Z, Wang H, Zhuang Y. “Global and regional prevalence of vitamin D deficiency in population-based studies from 2000 to 2022: A pooled analysis of 7.9 million participants.” Front Nutr. 2023 Mar 17;10:1070808. doi: 10.3389/fnut.2023.1070808. PMID: 37006940; PMCID: PMC10064807.


Reference 2: This review examined vitamin D levels among adults living in South Asia and found that vitamin D deficiency is very common across the region. The authors explain that factors such as limited sun exposure, lifestyle, skin pigmentation, and diet may all contribute to low vitamin D levels. Because vitamin D is essential for maintaining healthy bones and muscles, addressing this deficiency is an important part of supporting lifelong bone health. The study highlights the need for greater awareness and practical strategies to help people achieve adequate vitamin D levels.

Citation: Siddiqee MH, Bhattacharjee B, Siddiqi UR, MeshbahurRahman M. “High prevalence of vitamin D deficiency among the South Asian adults: a systematic review and meta-analysis.” BMC Public Health. 2021 Oct 9;21(1):1823. doi: 10.1186/s12889-021-11888-1. PMID: 34627207; PMCID: PMC8501935.

Vegetarian and Plant-Based Diets

Reference 1: This review explores how vegetarian diets may affect bone health. The authors explain that while well planned vegetarian diets can provide many health benefits, they may also be lower in important nutrients such as calcium, vitamin D, protein, and vitamin B12 if not carefully balanced. The paper highlights that these nutrients play an important role in maintaining strong bones and reducing the risk of fractures. It also emphasises that people following vegetarian diets can support their bone health by choosing a varied, nutrient-rich diet and including fortified foods or supplements when needed.

Citation: Falchetti A, Cavati G, Valenti R, et al. “The effects of vegetarian diets on bone health: A literature review.” Front Endocrinol (Lausanne). 2022 Aug 5;13:899375. doi: 10.3389/fendo.2022.899375. PMID: 35992115; PMCID: PMC9388819.


Reference 2: This review examines how vegetarian diets may influence bone mineral density, a measure of bone strength. The authors explain that people following vegetarian diets may have lower bone mineral density if they do not consume enough nutrients that are important for healthy bones, such as calcium, vitamin D, and protein. However, the paper also highlights that a well planned vegetarian diet can support good bone health when these nutritional needs are met. The review emphasises the importance of choosing a balanced diet to help maintain strong bones throughout life.

Citation: Chuang TL, Lin CH, Wang YF. “Effects of vegetarian diet on bone mineral density.” Tzu Chi Med J. 2020 Sep 16;33(2):128-134. doi: 10.4103/tcmj.tcmj_84_20. PMID: 33912409; PMCID: PMC8059457.


Reference 3: This review examined how vegan and vegetarian diets may affect bone mineral density and fracture risk. The authors found that people following plant based diets, particularly vegan diets, may have lower bone mineral density and a higher risk of fractures if they do not get enough nutrients that support bone health. The paper highlights the importance of consuming adequate calcium, vitamin D, protein, and other key nutrients when following a plant based diet. It also emphasises that well planned vegetarian and vegan diets can support healthy bones when nutritional needs are carefully met.

Citation: Iguacel I, Miguel-Berges ML, Gomez-Bruton A, Moreno LA, Julian C. “Veganism, vegetarianism, bone mineral density, and fracture risk: a systematic review and meta-analysis.” Nutr Rev. 2019 Jan 1;77(1):1-18. doi: 10.1093/nutrit/nuy045. PMID: 30376075.

I Think I Might Be at Risk of Osteoporosis

Why should I ask?

Osteoporosis is often called the “silent disease” because there are usually no symptoms until a fracture occurs. If you have risk factors, it is important to discuss your bone health before a fracture happens. Some common risk factors include but not limited to: Family history, Smoking, Alcohol, Low Body Weight, Age and Previous Falls.

Questions to ask your Doctor

1Am I at risk of osteoporosis?
2Should I have a bone health assessment?
3Should I have a DXA scan?
4What are my personal risk factors for osteoporosis and fractures?
5Are any of my medications affecting my bone health?
6What lifestyle changes can help protect my bones?

I am experiencing Height Loss, Stooped Posture, or Bone Pain

Why should I ask?

Losing height, developing a stooped posture or experiencing persistent back pain may not simply be part of ageing. These symptoms can sometimes be caused by vertebral fractures that happen without a major injury.

Questions to ask your Doctor

1Could my symptoms be caused by osteoporosis?
2Should I have spinal imaging or a VFA?
3Could I have had a spinal fracture without realising it?
4What treatments are available if I have vertebral fractures?
5How can I reduce my risk of future fractures?

I have Risk Factors but my DXA Scan was Normal

Why should I ask?

A normal bone density result does not always mean your bones are healthy. Some people may still be at increased fracture risk because of other risk factors or underlying conditions that affect bone quality.

Questions to ask your Doctor

1Does a normal DXA scan mean I cannot have osteoporosis?
2Why am I still at risk of fractures?
3Should my fracture risk be assessed using other tools?
4Are there additional tests I should have?
5How often should my bone health be reviewed?

I am worried about being on an Osteoporosis Medication

Why should I ask?

Many people are concerned about possible side effects of osteoporosis medicines. Understanding both the benefits and risks can help you make an informed decision with your doctor.

Questions to ask your Doctor

1Why are you recommending this medication?
2What are the common side effects?
3How common are the serious side effects?
4What happens if I decide not to take treatment?
5Are there other treatment options that may be suitable for me?

I am going through Menopause

Why should I ask?

Bone loss accelerates during and after menopause because of declining oestrogen levels. Acting early can help maintain bone strength and reduce future fracture risk.

Questions to ask your Doctor

1Does menopause increase my risk of osteoporosis?
2Should I have a DXA scan?
3Am I getting enough calcium and vitamin D?
4Would hormone therapy or another treatment benefit me?
5What lifestyle changes can help protect my bones?

I Have Another Medical Condition That May Affect My Bones

Why should I ask?

Some medical conditions can weaken bones, affect bone quality or interfere with the body’s ability to absorb important nutrients. Others may increase your risk of falls and thus fractures. These include diabetes, rheumatoid arthritis, thyroid disease, kidney disease, celiac disease among others.

Questions to ask your Doctor

1Does my medical condition increase my risk of osteoporosis or fractures?
2Should I have a DXA scan or other bone health tests?
3Are there treatments that can help protect my bones?
4Do I need to see a bone specialist?
5How often should my bone health be monitored?

I take Long-Term Medicines

Why should I ask?

Some medicines can reduce bone strength or increase fracture risk, particularly if they are taken over a long period. Your doctor can help determine whether you need additional monitoring or treatment.

Questions to ask your Doctor

1Could this medication affect my bones?
2Should I have a DXA scan?
3Do I need calcium or vitamin D supplements?
4Should I take medication to help protect my bones?
5How often should my bone health be reviewed while taking this medication?

I am Falling More Often and am Worried about my Balance

Why should I ask?

Most fragility fractures occur after a fall. Identifying the causes of falls and improving balance and strength can significantly reduce your fracture risk.

Questions to ask your Doctor

1Why might I be falling more often?
2Could my medications be contributing?
3Should my vision or hearing be checked?
4Would physiotherapy or balance training help?
5Can I be referred to a falls prevention programme?

I am an Older Man

Why should I ask?

Although osteoporosis is often thought of as a women’s disease, men can also develop osteoporosis and experience serious fractures. Unfortunately, osteoporosis in men is frequently under-recognised and underdiagnosed.

Questions to ask your Doctor

1Can men develop osteoporosis?
2Should I have a bone density test?
3What are my personal risk factors?
4Do I need treatment to reduce my fracture risk?
5Are there lifestyle changes I should make?

My Blood Tests show Low Vitamin D and/or Low Calcium

Why should I ask?

Vitamin D and calcium play essential roles in maintaining healthy bones. Low levels may contribute to bone loss and increase the risk of fractures if left untreated.

Questions to ask your Doctor

1What may have caused my low vitamin D and/or calcium levels?
2Do I need supplements?
3How much calcium and vitamin D should I be taking?
4Should my levels be checked again?
5Are there other tests needed to identify the underlying cause of my my low vitamin D and/or calcium levels?